MRS. MIRANDA JEAN JOHNSON (NPI# 1982014460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982014460 |
| Entity Type | Individual |
| Full Name | MRS. MIRANDA JEAN JOHNSON |
| Other Name | MISS MIRANDA JEAN BENEVIDES |
| Credential | M.S., CCC-SLP |
| Practice Address |
15265 Minnetonka Blvd. Minnetonka MN 55345 |
| Mailing Address |
9346 Oak Avenue Waconia MN 55387 |
| Practice Telephone | 9522232506 |
| Practice Fax Number | 9524432038 |
| Mailing Telephone | 9522232506 |
| Mailing Fax Number | 9524432038 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2019-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 9263 | MN | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770129876 | Miranda Johnson | Behavior Technician | 4117 Alveston Dr, Atlanta, GA 30349-2737 | 2019-11-23 |
| 1932663416 | Miranda Johnson | Dentist | 615 W Clairemont Ave Ste 120, Eau Claire, WI 54701-6223 | 2019-01-29 |
| 1013433846 | Miranda L Johnson | Assistant Behavior Analyst | 9280 S Midway Rd, Brimley, MI 49715-9223 | 2017-08-14 |
| 1063024123 | Miranda Johnson | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2020-08-20 |
| 1134789050 | Miranda Johnson | Social Worker | 2700 Westhall Ln, Maitland, FL 32751-7203 | 2019-06-13 |
| 1063984177 | Miranda Paige Johnson | Licensed Practical Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2018-12-31 |
| 1366965204 | Miranda Louise Johnson | Speech-Language Pathologist | 2846 S Spectrum Way, Gilbert, AZ 85295-6176 | 2017-07-23 |
| 1710400759 | Miranda Lee Johnson | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-07-21 |
| 1811424286 | Miranda Johnson | Counselor | 9487 Brookline Ave, Baton Rouge, LA 70809-1429 | 2017-05-17 |
| 1760747505 | Miranda Johnson | Case Manager/Care Coordinator | 6701 Highway 67 Bldg 4, Benton, AR 72015-8909 | 2012-07-09 |
| Street Address |
15265 MINNETONKA BLVD. |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587205 | Pain Partners LLC | Pharmacist | 15225 Wild Wings Court, Minnetonka, MN 55345 | 2020-01-21 |
| 1356811608 | Caitlin Marie Peterson | Specialist/Technologist | 15708 Wood Knoll Lane, Minnetonka, MN 55345 | 2018-11-29 |
| 1649747007 | West Side Counseling LLC | Community/Behavioral Health | 10520 Wayzata Blvd., Suite 100, Minnetonka, MN 55345 | 2018-10-24 |
| 1689173247 | Theresa Tsuchiya | Psychologist | Relate, Inc., 5125 County Road 101, Suite 300, Minnetonka, MN 55345 | 2018-02-08 |
| 1497264147 | Minnetonka Assisted Living and Hospice | Community Health Worker | 14667 Lake Street Extension, Minnetonka, MN 55345 | 2017-09-26 |
| 1619494671 | Shree Revenue Management | Durable Medical Equipment & Medical Supplies | 6117, Creek Ridge Ct, Minnetonka, MN 55345 | 2017-08-29 |
| 1538606876 | Stefani Yanizeski | Speech-Language Pathologist | Minnesota Autism Center, 5710 Baker Road, Minnetonka, MN 55345 | 2017-01-25 |
| 1790157469 | Greg Anderson | Psychologist | 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 | 2015-10-21 |
| 1861896375 | Kristine L Smith | Marriage & Family Therapist | 5125 County Road 101 Suite 300, Minnetonka, MN 55345 | 2014-10-13 |
| 1770914095 | South Lake Clinic, Pa | Pediatrics | 17705 Hutchins Drive Suite 250, Minnetonka, MN 55345 | 2013-12-12 |
| Find all providers in zip 55345 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538606876 | Stefani Yanizeski | Speech-Language Pathologist | Minnesota Autism Center, 5710 Baker Road, Minnetonka, MN 55345 | 2017-01-25 |
| 1194197541 | Rosemary Jost | Speech-Language Pathologist | 2000 Plymouth Rd Ste 220, Minnetonka, MN 55305-2382 | 2015-10-26 |
| 1730550922 | Pamela Lackram | Speech-Language Pathologist | 15265 Minnetonka Blvd, Minnetonka, MN 55345-1510 | 2015-10-13 |
| 1588081517 | Colleen Kay O'brien Janssen | Speech-Language Pathologist | 5847 Bell Cir, Minnetonka, MN 55345-6211 | 2014-03-27 |
| 1265739916 | Laura Jean Egan | Speech-Language Pathologist | 4843 Ridge Rd, Minnetonka, MN 55345-3128 | 2011-02-15 |
| 1891010096 | Heidi Marie Pahl Tousignant | Speech-Language Pathologist | 11606 Wayzata Blvd, Minnetonka, MN 55305 | 2010-03-30 |
| 1871817429 | Michelle Lynn Wiersma | Speech-Language Pathologist | 11900 Wayzata Blvd Ste 132, Minnetonka, MN 55305-2018 | 2010-03-24 |
| 1891914412 | Sunnydays Therapy Inc | Speech-Language Pathologist | 15265 Minnetonka Boulevard, Minnetonka, MN 55345 | 2007-04-24 |
| 1225179955 | Karen Lynn Diaz | Speech-Language Pathologist | 13304 Loveland Cir, Minnetonka, MN 55305-2306 | 2007-02-08 |
| 1588720817 | Denise Lowe | Speech-Language Pathologist | 10273 Yellow Circle Dr, Minnetonka, MN 55343-9144 | 2006-12-29 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55345 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.